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Limited Purpose FSA Eligible Expense List

www.benstrat.com

Maximum LP FSA election amount (refer to your LP FSA enrollment form for plan maximum) (E)$ Election Amount. Enter (D) or (E), whichever is less (F)$ Number of pay periods in a plan year (G) Payroll deduction amount per pay period (F) ÷ (G) $ Eligible weekly dependent care cost (A)$ Weeks of dependent care you will have in the plan year (B)

  Limited, Purpose, Lists, Eligible, Expenses, Enrollment, Fsa enrollment, Limited purpose fsa eligible expense list

FSA ENROLLMENT KIT - Mydenny's

www.mydennys.com

FSA ENROLLMENT GUIDE Everyone spends money on doctor visits, prescriptions, dental exams, glasses and contacts, and over-the-counter medicines, not to mention daycare.

  Guide, Enrollment, Fsa enrollment, Fsa enrollment guide

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